The syndromic child and anaesthesia

Many systems that are relevant to anaesthetists may be affected in syndromic children. These include the spine, airway, respiratory, cardiovascular, genitourinary and neuromuscular systems, as well as coagulation, endocrine and metabolic functions. Embryological development may explain some co-existing anomalies. Although each syndromic child must be managed individually, an approach to evaluating syndromic children and knowledge of common syndromes may be useful.